CMS Finding New Ways to Penalize Home Health Providers

Posted on Thursday, July 18, 2019 4:19 PM

CMS released its proposed payment rule for 2020 last week, and it discusses phasing out pre-payments to home health services and then stopping them all together in 2021.  Presently, home health providers receive 60% of the anticipated payment upfront through a Request for Anticipated Payment (RAP).  The suggested new payment model is a notice of admission requirement for home health providers that comes with built in penalties. 

“The thing I’m really upset about is this notice of admission process,” Melinda Gaboury, co-founder and CEO of Healthcare Provider Solutions Inc., said Tuesday during the National Association for Home Care & Hospice (NAHC) Financial Management Conference in Chicago. “It’s going to be very unnerving, very scary, very frustrating from the beginning.”

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